MEDICARE: JOHN R JOHNSON III M.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25-445440	VA

General Provider Information

NPI Number	:	1326339276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN R JOHNSON III M.S

Provider Business Mailing Address
First Line	:	13800 COPPERMINE RD
Second Line	:
City	:	HERNDON
State	:	VA
Zip	:	20171-6163
Country	:	US
Telephone Number	:	718-215-5311
Fax Number	:	718-865-5165

Provider Business Practice Location Address
First Line	:	13800 COPPERMINE RD
Second Line	:
City	:	HERNDON
State	:	VA
Zip	:	20171-6163
Country	:	US
Telephone Number	:	718-215-5311
Fax Number	:	718-865-5165

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2011
Last Update Date	:	06/18/2025

Similar Medicare Providers

1013844802 — ANCHORWELL HOME CARE INC.
Practice Location Address:

13800 COPPERMINE RD # 137
HERNDON, VA
20171-6163

Practice Phone: 703-348-2048
Practice Fax:

1245206028 — DR. BETH BREECE DAVIS PHD
Practice Location Address:

13800 COPPERMINE RD , SUITE 183
HERNDON, VA
20171-6163

Practice Phone: 619-540-3235
Practice Fax:

1306106570 — SAHRA M ISMAIL
Practice Location Address:

13800 COPPERMINE RD
HERNDON, VA
20171-6163

Practice Phone: 571-308-5892
Practice Fax:

1124433453 — KIND-CARE
Practice Location Address:

13800 COPPERMINE RD , STE 148
HERNDON, VA
20171-6163

Practice Phone: 866-769-6746
Practice Fax: 703-935-2438

1659778454 — DR. HEIDI MARIE KING PHD
Practice Location Address:

13800 COPPERMINE RD , 1ST FLOOR
HERNDON, VA
20171-6163

Practice Phone: 703-822-1381
Practice Fax:

1275913436 — PEAK PERFORMANCE NEUROFEEDBACK, LLC
Practice Location Address:

13800 COPPERMINE RD , SUITE 183
HERNDON, VA
20171-6163

Practice Phone: 619-540-3235
Practice Fax: 703-234-2213

Directions to “ JOHN R JOHNSON III M.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.